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The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults

Author

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  • Bo-Kyung Son

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Institute for Future Initiatives, The University of Tokyo, Tokyo 113-0033, Japan
    Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan)

  • Takahiro Miura

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Human Augmentation Research Center (HARC), National Institute of Advanced Industrial Science and Technology (AIST), Kashiwa 277-0882, Japan)

  • Ken-ichiro Yabu

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Research Center for Advanced Science and Technology (RCAST), The University of Tokyo, Tokyo 153-8904, Japan)

  • Yuka Sumikawa

    (Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

  • Dongyool Kim

    (Department of Agribusiness Management, Faculty of International Agriculture and Food Studies, Tokyo University of Agriculture, Tokyo 156-8502, Japan)

  • Weida Lyu

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan)

  • Yingxue Yang

    (Graduate School of Education, The University of Tokyo, Tokyo 113-0033, Japan)

  • Moeko Tanaka

    (Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

  • Tomoki Tanaka

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan)

  • Yasuyo Yoshizawa

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan)

  • Katsuya Iijima

    (Institute of Gerontology, The University of Tokyo, Tokyo 113-8656, Japan
    Institute for Future Initiatives, The University of Tokyo, Tokyo 113-0033, Japan
    Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan)

Abstract

Frailty is an age-related condition characterized by a decline in physical capacity with an increased vulnerability to stressors. During the COVID-19 pandemic, there was considerable progression in frailty in older adults. Therefore, an online frailty check (FC) is required for continuous screening, especially acceptable to older adults. We aimed to co-design/co-develop an online FC application with FC supporters who were facilitators in a pre-existing onsite FC program in the community. It consisted of a self-assessment of sarcopenia and an 11-item questionnaire assessing dietary, physical, and social behaviors. Opinions obtained from FC supporters (median 74.0 years) were categorized and implemented. The usability was assessed using the system usability scale (SUS). For both FC supporters and participants (n = 43), the mean score was 70.2 ± 10.3 points, which implied a “marginally high” acceptability and a “good” adjective range. Multiple regression analysis showed that the SUS score was significantly correlated with onsite–online reliability, even after adjusting for age, sex, education level, and ICT proficiency (b = 0.400, 95% CI: 0.243–1.951, p = 0.013). We also validated the online FC score, which showed a significant association between onsite and online FC scores (R = 0.670, p = 0.001). In conclusion, the online FC application is an acceptable and reliable tool to check frailty for community-dwelling older adults.

Suggested Citation

  • Bo-Kyung Son & Takahiro Miura & Ken-ichiro Yabu & Yuka Sumikawa & Dongyool Kim & Weida Lyu & Yingxue Yang & Moeko Tanaka & Tomoki Tanaka & Yasuyo Yoshizawa & Katsuya Iijima, 2023. "The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults," IJERPH, MDPI, vol. 20(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6101-:d:1168362
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    References listed on IDEAS

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    1. Suguru Shimokihara & Michio Maruta & Yuma Hidaka & Yoshihiko Akasaki & Keiichiro Tokuda & Gwanghee Han & Yuriko Ikeda & Takayuki Tabira, 2021. "Relationship of Decrease in Frequency of Socialization to Daily Life, Social Life, and Physical Function in Community-Dwelling Adults Aged 60 and Over after the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    2. Diana Jiménez-Rodríguez & Azucena Santillán García & Jesús Montoro Robles & María del Mar Rodríguez Salvador & Francisco José Muñoz Ronda & Oscar Arrogante, 2020. "Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals’ Perceptions about Their Implementation and Adequate Management," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
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